Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.60 / $2,747.00 / $7,920.26	Facility		$553.60	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $367.08 / $1,449.88	Professional		$254.66	$367.08	$1,449.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.76 / $593.48 / $820.14	Professional		$376.76	$593.48	$820.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.03 / $610.48 / $694.95	Professional		$433.03	$610.48	$694.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.08 / $554.07 / $794.16	Facility		$367.08	$554.07	$794.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.25 / $557.52 / $889.08	Professional		$447.25	$557.52	$889.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.56 / $527.50 / $566.44	Facility		$404.56	$527.50	$566.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.08 / $600.21 / $789.22	Facility		$367.08	$600.21	$789.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $483.72 / $648.75 / $856.94	Professional		$483.72	$648.75	$856.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,487.06 / $1,487.06 / $1,487.06	Facility		$1,487.06	$1,487.06	$1,487.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.92 / $674.79 / $888.88	Professional		$512.92	$674.79	$888.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.08 / $643.02 / $925.74	Professional		$431.08	$643.02	$925.74